Provider Demographics
NPI:1376185165
Name:SARKISYAN, ALINA (RN, BSN, AGPCNP)
Entity Type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:
Last Name:SARKISYAN
Suffix:
Gender:F
Credentials:RN, BSN, AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 BEACH 92ND ST # 2B
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-1699
Mailing Address - Country:US
Mailing Address - Phone:646-606-9604
Mailing Address - Fax:
Practice Address - Street 1:1629 SHEEPSHEAD BAY RD FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3804
Practice Address - Country:US
Practice Address - Phone:718-395-8994
Practice Address - Fax:718-306-9439
Is Sole Proprietor?:No
Enumeration Date:2019-10-13
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309173363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology